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Original Question

Jake Smith is a 76-year-old male with diabetes mellitus type1 who checks his blood sugar whenever he feels like it. He has been feeling increasingly nauseated the past 12 hours. He checked his blood glucose before going to bed and it was 375, but then he fell asleep early and missed his bedtime dose of glargine (Lantus) insulin. He woke up this morning with generalized abdominal pain and continued to feel nauseated. His glucometer was unable to read his blood glucose because it was too high. He took 15 units of lispro (Humalog) insulin this morning. His nausea has increased all morning and he has been unable to eat or keep anything down despite having an increased thirst and appetite. She also has had increased frequency of urination. He checked his blood sugar again this morning but it was still unable to read. He called 911 and was brought to the emergency room. BMP: Na: 120 K-6.7 Glucose: 789 Creat: 3.0 CBC: WBC: 16.4 HGB: 11.8 PLT: 150 UA and Micro: Color: clear Clarity: Cloudy Specific Gravity: 1.005 Gluc: >1000 Ketone: Large Bacteria: NEg 1. List 4-5 priority nursing interventions (independent and collaborative) with rationales. 2. What would be your priority nursing diagnosis for this patient? 3. What teaching would you provide the patient and family to prevent the future occurrences? Image transcription text Jake Smith is a 76-year-old male with diabetes mellitus typel who checks his blood sugar whenever he feels like it. He has been feeling increasingly nauseat… Show more

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